Active NPI
Olawumi Ikeade Ogedengbe
- Pharmacist
- Ozark, AL
National Provider Identifier
1427879956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 23767
- Practice address
- 176 Andrews Ave
Ozark, AL 36360-0404 - Phone
- (334) 774-2654
- NPI assigned
- Oct 17, 2024
- Last updated
- Oct 17, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 23767 | AL | Primary |
Addresses
Primary practice location
176 Andrews Ave
Ozark, AL 36360-0404
Mailing address
10 Gibson St
Fort Novosel, AL 36362-2226
Phone (612) 222-2685
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23767 | AL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alabama CVS Pharmacy, L.L.C. | Current | Accepting new patients | |
| Alabama CVS Pharmacy LLC | Past | Accepting new patients |
Locations
176 Andrews Ave
Ozark, AL 36360
Phone (334) 774-2654
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729123200000",
"number": "1427879956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 GIBSON ST",
"city": "FORT NOVOSEL",
"state": "AL",
"postal_code": "363622226",
"telephone_number": "612-222-2685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "176 ANDREWS AVE",
"city": "OZARK",
"state": "AL",
"postal_code": "363600404",
"telephone_number": "334-774-2654"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OGEDENGBE",
"first_name": "OLAWUMI",
"middle_name": "IKEADE",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-17",
"last_updated": "2024-10-17",
"certification_date": "2024-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "23767",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ozark, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.